The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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A Case Report of Oculomotor Palsy Associated with Stent-Assisted Coil Embolization of Cerebral Aneurysm

뇌동맥류의 스텐트 보조 코일색전술 후에 발생한 동안신경 마비에 대한 한방치험 1례

  • Min-hwa, Kim (Dept. of Internal Medicine, Korean Medicine Hospital, Pusan National University) ;
  • Gi-yoon, Heo (Dept. of Internal Medicine, Korean Medicine Hospital, Pusan National University) ;
  • Hee-kyung, Kang (Dept. of Internal Medicine, Korean Medicine Hospital, Pusan National University) ;
  • I-rang, Nam (Dept. of Internal Medicine, Korean Medicine Hospital, Pusan National University) ;
  • Mariah, Kim (Dept. of Internal Medicine, Korean Medicine Hospital, Pusan National University) ;
  • In, Lee (Dept. of Internal Medicine, Korean Medicine Hospital, Pusan National University) ;
  • Jung-nam, Kwon (Dept. of Internal Medicine, Korean Medicine Hospital, Pusan National University) ;
  • So-yeon, Kim (Dept. of Internal Medicine, Korean Medicine Hospital, Pusan National University) ;
  • Young-ju, Yun (Dept. of Internal Medicine, Korean Medicine Hospital, Pusan National University) ;
  • Jun-yong, Choi (Dept. of Internal Medicine, Korean Medicine Hospital, Pusan National University) ;
  • Chang-woo, Han (Dept. of Internal Medicine, Korean Medicine Hospital, Pusan National University) ;
  • So-jung, Park (Dept. of Internal Medicine, Korean Medicine Hospital, Pusan National University) ;
  • Jin-woo, Hong (Dept. of Internal Medicine, Korean Medicine Hospital, Pusan National University)
  • 김민화 (부산대학교 한방병원 한방내과) ;
  • 허기윤 (부산대학교 한방병원 한방내과) ;
  • 강희경 (부산대학교 한방병원 한방내과) ;
  • 남이랑 (부산대학교 한방병원 한방내과) ;
  • 김마리아 (부산대학교 한방병원 한방내과) ;
  • 이인 (부산대학교 한방병원 한방내과) ;
  • 권정남 (부산대학교 한방병원 한방내과) ;
  • 김소연 (부산대학교 한방병원 한방내과) ;
  • 윤영주 (부산대학교 한방병원 한방내과) ;
  • 최준용 (부산대학교 한방병원 한방내과) ;
  • 한창우 (부산대학교 한방병원 한방내과) ;
  • 박소정 (부산대학교 한방병원 한방내과) ;
  • 홍진우 (부산대학교 한방병원 한방내과)
  • Received : 2022.11.25
  • Accepted : 2022.12.27
  • Published : 2022.12.30
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Abstract

Posterior communicating artery aneurysms (PcomAAs) are the second most common type of aneurysm. Large cerebral aneurysms show various neurological symptoms, especially oculomotor nerve palsy (ONP), due to PcomAAs. Recent research has shown that stent-assisted coil embolization has many side effects. We report the effectiveness of Korean medicine in the treatment of ONP due to PcomAAs after stent-assisted coil embolization. A patient with ptosis and limitation of eye movement was treated with Korean medicine, including herbal medicine (Samlyeongbaegchul-san-byeonbang [參苓白朮散變方] and Uwhangchungsim-won [牛黃淸心元]), acupuncture, electroacupuncture, cupping, and moxibustion. Clinical symptoms were observed by images of the inter-palpebral fissure and eyeball movement. After the treatment, the inter-palpebral fissure and eyeball movement were noticeably improved. These findings suggest that treatment with Korean medicine can be an effective option for the treatment of ONP due to PcomAAs after stent-assisted coil embolization.

Keywords

Acknowledgement

본 연구는 2021년도 부산대학교병원 임상연구비 지원으로 이루어졌음.

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